scholarly journals A Clinical Study on socio-demographic background in Ruptured Uterus Cases

2013 ◽  
Vol 2 (2) ◽  
pp. 9-14
Author(s):  
N Roy ◽  
K Nahar ◽  
UK Sarker ◽  
A Beg ◽  
S Dhar ◽  
...  
Keyword(s):  
Rural Areas ◽  
Uterine Rupture ◽  
Labour Pain ◽  
Community Based ◽  
College Hospital ◽  
Medical College ◽  
Birth Attendants ◽  
Obstetrics And Gynaecology ◽  
Demographic Background ◽  
Ruptured Uterus

A study of 72 cases of uterine rupture out of total 5984 deliveries(including 3619 caesarean sections) over 1 year (from Sep. 2006 to Aug 2007) in the dept. of Obstetrics and Gynaecology, Mymensingh Medical College Hospital was reported. This gives an incidence of uterine rupture 1: 83. The results showed that, this was a common obstetric emergency & was a major cause of maternal & foetal deaths. Study showed that, 87.5% came from rural areas where facility was not available, 79% were of poor socio-economic condition .All rupture uterus cases (100%)was house wife. Peak age was between 20-30 years (68%). Among all rupture cases, 72.22% cases were between gravida 2nd to 4th,and 19.44% cases were gravida 5th or above & only 8.33% cases were Primigravida, Most of the patients(56%) were illiterate. 46% of cases had no antenatal checkup during their pregnancies. 51.38% cases labour pain lasting>16 hours. Most of the mishandled cases (66.67%) were exposed to injudicious use of uterotonic drugs before admission. Most of the cases (38.9%) handled by untrained birth attendants. DOI: http://dx.doi.org/10.3329/cbmj.v2i2.16692 Community Based Medical Journal 2013 July: Vol.02 No 02: 9-14

scholarly journals Screening for various non communicable diseases: a community based multi-diagnostic mega camp approach study from Raichur, Karnataka

2021 ◽  
Author(s):  
Amruth Reddy S. ◽  
Sai Anurag Reddy A. ◽  
Anant A. Takalkar
Keyword(s):  
Rural Areas ◽  
Research Centre ◽  
Healthy Population ◽  
Community Based ◽  
College Hospital ◽  
Middle Income ◽  
Medical College ◽  
Middle Income Countries ◽  
Urban And Rural Areas ◽  
Rural Part

Background: The 77% of all non-communicable illnesses (NCDs) deaths are in low-and middle-income countries. Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.3 million), respiratory diseases (4.1 million), and diabetes (1.5 million). These 4 groups of diseases account for over 80% of all premature NCD deaths. Objective was to study prevalence of NCDs and its trends with respect to age and gender.Methods: The present community based descriptive observational study was conducted at Navodaya medical college hospital and research centre, Raichur that caters Urban and rural area of Raichur. The 4063 apparently healthy population from urban and rural part of Raichur were screened during the multi diagnostic mega camp at urban and rural areas around Raichur during the period of January to September 2021. Results: Prevalence of diabetes in our study was 46.3%, hypertension 45.3%, cataract 46.3% and COPD as 20.7%. Prevalence of diabetes was more in 41-60 years i.e., 41.6%.  Prevalence of hypertension was more in 41-50 years i.e., 25.3%. Prevalence of diabetes was more in males i.e., 54.1%. Prevalence of hypertension was more in males i.e., 50.8%.Conclusions: Prevalence of all NCDs was more in above 40 years and more in males except COPD.

scholarly journals Uterine Rupture - Experience of 30 Cases at Faridpur Medical College Hospital

2013 ◽  
Vol 7 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Dr Mahbuba ◽  
Irin Parveen Alam
Keyword(s):  
Uterine Rupture ◽  
Skilled Birth Attendant ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Ruptured Uterus

Rupture uterus is a rare and often catastrophic condition. It is associated with a high incidence of fetal and maternal mortality and morbidity. Our objective in this study is to determine incidence, etiology, trend, management, maternal and fetal outcome of uterine rupture in Faridpur Medical College Hospital. This is a prospective cross-sectional study  of patients with ruptured uterus from the period of January 2011 to December 2011 admitted at Faridpur Medical College Hospital. All the cases of ruptured uterus who were either admitted with uterine rupture or who developed it  in hospital were included in the study. Patients having ruptured uterus due to congenital anomaly were excluded from  the study. Patients were initially assessed in labour ward, relevant sociodemographic data, previous antenatal and  surgical history recorded. Ways of management, maternal and fetal outcome were taken for analysis. There were 30 cases of ruptured uterus out of total 3606 deliveries (including 1809 caesarian sections) over a one year time period, with a prevalence of 0.83%. The most common age group was 21-30 years. A majority of patients 16(53.3%) were cases of unscarred uterus presenting with rupture; the common cause of rupture in scarred uterus was injudicious use of oxytocin (13,43.33%). Proper antenatal care, appropriate counseling of patients with history of previous caesarian section for hospital delivery, training of skilled birth attendant can reduce mortality and morbidity due to rupture uterus. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13504 Faridpur Med. Coll. J. 2012;7(2):79-81

scholarly journals Violence against Women - A Study Done in the One-Stop Crisis Centre (OCC) of Dhaka Medical College Hospital, Dhaka, Bangladesh

1970 ◽  
Vol 19 (2) ◽  
pp. 98-101 ◽  
Author(s):  
R Khanom ◽  
DK Saha ◽  
K Begum ◽  
J Nur ◽  
S Tanira
Keyword(s):  
Violence Against Women ◽  
Rural Areas ◽  
Medical College Hospital ◽  
Physical Assault ◽  
Community Based Interventions ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Results ◽  
One Stop

Objective: This study aims to describe main perpetrator of violence area and prevention of violence against women. Study design: A cross sectional study was carried out in One-stop Crisis Centre (OCC) of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of June 2006 to May 2007. Methods: 284 victims reported in OCC during the study period were selected as cases for the study and quantitative information was collected from them using cross sectional for the present study. Results: Study shows that most of the violence is done by husband (46.48%) and prevalence is more in rural areas (80.98%) in comparison to urban area (19.02%). Physical assault is the most common type of violence (50.35%), followed by sexual assault (36.63%) and burn (13.02%) Housewives are tortured more (67%). Conclusion: Proper implementation of existing rules and community based interventions for raising awareness about the domestic violence against women are recommended. Key words: Violence against women; assault; human rights; one-stop crisis centre (OCC); Bangladesh. DOI: 10.3329/jdmc.v19i2.7077J Dhaka Med Coll. 2010; 19(2) : 98-101

scholarly journals A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN ECLAMPSIA

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Shital M Chalaliya ◽  
Dipti C. Parmar
Keyword(s):  
Retrospective Study ◽  
Antenatal Care ◽  
Rural Areas ◽  
Socioeconomic Conditions ◽  
Early Referral ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Review Period ◽  
Obstetric Emergencies ◽  
Primary Management

In India the perinatal and maternal outcome in eclampsia cases is still poor due to inadequate antenatal care in rural areas, financial restraints and non-availability of transportation facilities, and social taboos causing delay in management resulting in poor maternal and neonatal outcome. Aim of the study was to evaluate fetomaternal outcome in patients with eclampsia. This retrospective study was conducted over a period  of 2 years from  May  2018 to  April 2020  at department of obstetrics and gynaecology of Government  medical college and Sir T General hospital,  Bhavnagar , Gujarat , India. During the review period total 50 cases of eclampsia reported.Incidence in our study is 0.43%.Results showed 86 % of eclampsia patients were of age less than 25 years. 82% of patients had antepartum eclampsia , 14 % had postpartum eclampsia and 4% had intrapartum  eclampsia . 90% patients had 1 episodes of convulsion. 8% patients had 2 episodes of convulsions.2% pateint had 5 episode of convulsion. Out of 50 patients 36 patients were delivered by C-section and 14 patients by vaginal delivery.1 patient had twin pregnancy.Out of 51 newborn, 5 were stillbirth and 1 early neonatal death.Maternal mortility was 2 % .Eclampsia is still one of the important and common obstetric emergencies, which has a significant role in maternal and perinatal outcome. Regular Antenatal Care (ANC), proper health education, improvements of socioeconomic conditions and spreading of awareness in the community has major roles in prevention of eclampsia. Timely and appropriate intervention including primary management, early referral and judicious termination of pregnancy help in reducing morbidity and mortality of both mother and fetus. Keywords: Eclampsia, Fetomaternal outcome.

scholarly journals Awareness about cervical cancer screening among reproductive aged women attending gynaecology outpatient department in ESI PGIMSR & ESIC medical college & Hospital, Joka, Kolkata

2017 ◽  
Vol 4 (4) ◽  
pp. 1319
Author(s):  
Susmita Chaudhuri ◽  
Rekha Dutt ◽  
Shweta Goswami ◽  
Joydeb Roychowdhury
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Rural Areas ◽  
Hpv Infection ◽  
Early Marriage ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Reproductive Aged Women

Background: Cervical cancer is a leading cause of morbidity and mortality in women especially India. The mainstay of prevention rests on early detection of cases through screening. So, this study aims to determine the knowledge of cervical cancer screening, Human papilloma virus & its vaccination status. Methods: This was an observational study of cross-sectional design conducted among the adult reproductive aged women (18-45 years) visiting Gynaecology OPD at ESI-PGIMSR and ESIC Medical College and Hospital, Joka. A pre-designed and pre-tested interview schedule was prepared. Face to face interview was conducted in local language. Data was compiled & computed in SPSS software version 20. Results: Total respondents were 97. Majority of the respondents (62.9%) belong to the age group of 21-30 years. 8 in 10 participants follow Hinduism. Almost equal percentages of participants were from urban & rural areas (51.5% & 48.5% respectively). 6 in 10 participants had heard about cervical cancer. Majority of the respondents (55%) mentioned friends & family as a source of information. 48.3% of the respondents knew poor genital hygiene as a predisposing risk factor for cervical cancer. Very few knew about other factors like multiple sexual partner (20%), early marriage (33.3%), young age (20%), repeated childbirth (35%), OCP usage (26.7%) as risk factors for cervical cancer. Only one participant had undergone screening test for cervical cancer (1.7%). 46.7% of the respondents were aware about association of HPV infection with cervical cancer. But none of the participants had received vaccine against cervical cancer & they cited lack of awareness as a reason for not receiving the vaccine. Conclusions: A well-designed health education program focusing on effective multipronged IEC strategies utilizing pictorials, audio-visual and personal communication on cervical cancer could yield beneficial results. 

Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 2 (02) ◽  
pp. 8-13
Author(s):  
Humayoon Akbar ◽  
Sudhakar S. ◽  
Shanthi B. ◽  
Khadeja Bi ◽  
Jayaseelan R. ◽  
...  
Keyword(s):  
Marital Satisfaction ◽  
Alcohol Dependence ◽  
Rural Areas ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
The Mean ◽  
Alcohol Dependent

BACKGROUND One third of Indians consume alcohol and there is an alarming annual increase in alcohol consumption. Majority of spouses of alcohol dependent males are also the primary care-takers of their husbands and are at risk of domestic violence. Marital dissatisfaction could reduce their involvement in getting their spouses treated for alcohol dependence. Our aim was to study the marital satisfaction among the spouses of patients with alcohol dependence. METHODOLOGY This study was conducted on spouses of male patients with alcohol dependence syndrome attending the psychiatry department of a tertiary care medical college hospital in Kanchipuram District in Tamilnadu. 200 consecutive male patients with alcohol dependence syndrome using the ICD 10 criteria were recruited. Severity of alcohol dependence was assessed using Short Alcohol Dependence Data (SADD). Marital satisfaction among the spouses was assessed using ENRICH Marital Satisfaction (EMS) Scale. Analysis of the data was done using Statistical Package for the Social Sciences (SPSS) version 22.0. RESULTS The mean age of alcohol dependent men and their spouses were 43.05±9.39 and 37.58±8.86 years respectively. Most of the spouses (83.5%) had done their primary education only and 50% were house-wives (unemployed). Majority of men earned between Rs.5000 to 10,000 and most of them were unskilled workers belonging to the lower socio-economic group in the rural areas. The mean SADD and EMS scores were 25.05 ± 8.891 and 31.76 ± 14.45 respectively. 74% of men in our study population were highly dependent on alcohol. Amongst the spouses of men with severe dependence 68.9% reported moderate and 28.3% reported low marital satisfaction. DISCUSSION and CONCLUSION Majority of alcohol dependent men suffered from severe dependence. An inverse relationship between marital satisfaction scores and severity of alcohol dependence was observed. Alcohol dependence and its severity was noted to have an adverse impact on marital satisfaction among spouses of the dependent patients.

scholarly journals Acid violence: a burning issue in Bangladesh

2014 ◽  
Vol 7 (1) ◽  
pp. 12-15 ◽  
Author(s):  
Gulshan Ara Akhter ◽  
Farzana Islam
Keyword(s):  
Older Women ◽  
Rural Areas ◽  
Public Awareness ◽  
College Hospital ◽  
Young Females ◽  
Medical College ◽  
Land Dispute ◽  
One Stop ◽  
Urban And Rural Areas

Acid violence is a barbaric form of violence in Bangladesh. Acid violence also called acid throwing or vitriolage, is defined as the act of throwing of strong corrosives on face and body of a person with the intention of causing permanent disfiguration, intense pain, scarring and sometimes blindness. All of these injuries are considered as ‘grievous hurt’ under section 320 of B.P.C (Bangladesh Penal Code). For the last few years it is on the rise in both urban and rural areas of Bangladesh. The perpetrators are mostly men and adolescent boys. The overwhelming majority of the victims are women and many of them are girls and young females. Recently, however, there have been acid attacks on children, older women and also men. These attacks are often the result of family and land dispute, dowry demands or a desire for revenge due to failure in love affairs or marriage proposals. It is considered as one of the extreme forms of repression and violation of women’s right. This review article is aimed to focus on the present situation of this barbaric act of vengeance against women and young adolescent girls with regard to frequency, causes, long term consequences and creating public awareness on the issue by tightly regulating the sale and transport of acid as well as enacting harsher penalties for perpetrators. Data collection is based on information from Dhaka Medical College hospital, One Stop Crisis Center (OCC), Acid Survivors’ Foundation, Naripokkho Action Aid and several Dhaka based organizations. DOI: http://dx.doi.org/10.3329/imcj.v7i1.17744 Ibrahim Med. Coll. J. 2013; 7(1): 18-20

scholarly journals Surgical Management and Per-operative Findings of Women with Ectopic Pregnancy

2020 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Naheed Fatema ◽  
Zannatul Ferdosh ◽  
Sherajum Munira ◽  
KAM Mahbub Hasan ◽  
Nasim Iftekhar Mahmud ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Surgical Management ◽  
Fallopian Tube ◽  
Medical College Hospital ◽  
Reproductive Age ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Operative Findings

Background: Management of ectopic pregnancy is very crucial issue for the survival of the patients. Objective: The purpose of the present study was to observe the surgical management and per-operative findings of women with ectopic pregnancy. Methodology: This cross-sectional study was carried out in the inpatient Department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka, Bangladesh from January 2009 to December 2009 for a period of one (1) year. All clinically suspected cases of ectopic pregnancy within the reproductive age admitted in the department of Obstetrics and Gynaecology at the Bangladesh Medical College Hospital, Dhaka were included in the present study. In most of the cases, laparoscopy or laparotomy was done to confirm the diagnosis and manage the cases. Result: A total number of 48 cases of ectopic pregnancy women were recruited for this study. The highest number of ectopic pregnancy occurs in the ampulla of the fallopian tube which was 27(58.3%) cases. The right tube had been found to be affected more than the left which was 30(62.5%) cases and 18(37.5%) cases respectively. Most of the patients were presented with ruptured tubal pregnancy which was 30(62.5%) cases. Opposite tube was normal looking in 25(52.1%) cases. Unilateral salpingectomy and salpingectomy with contra lateral tubectomy were operated in 32(66.7%) cases and 10(20.8%) cases respectively. Conclusion: In conclusion most of the ectopic pregnancy is occurred in the site of ampulla of fallopian tube in right side which are mostly surgically managed by unilateral salpingectomy. Journal of Current and Advance Medical Research 2020;7(1): 12-16

scholarly journals Study of glycemic status and lipid profile in type 2 diabetic patients attending the Community Based Medical College Hospital

2014 ◽  
Vol 3 (1) ◽  
pp. 20-24
Author(s):  
Md Muzibar Rahman ◽  
Zahid Hassan ◽  
Bina Sen ◽  
ASM Shahidullah ◽  
Arup Ratan Paul ◽  
...  
Keyword(s):  
Total Cholesterol ◽  
Diabetic Patients ◽  
Male Counterpart ◽  
Type 2 Diabetic Patients ◽  
Community Based ◽  
College Hospital ◽  
Medical College ◽  
Type 2 Diabetic ◽  
Female Subjects

A cross sectional study of 129 type 2 diabetic patients attending out patient department of Community Based Medical College Hospital was done with an aim to evaluate their metabolic control. Of the total cases, 88 (68.2%) were male and 41 (31.8%) were female. Blood glucose and lipid levels were measured by following the standard laboratory methods. The study subjects had relatively poor glycemic control. Fasting serum glucose was 7.45±2.71 (mmol/l, mean±SD); Male-7.04±2.36 and Female 8.33±3.20, p=ns'. Mean (±SD) of total cholesterol and triglyceride of the female subjects were significantly higher compared to the male counterpart (p=0.01 for both). About 71% and 78.0% female subjects had triglyceride and HDLc abnormality compared to 63.3% and 61.4% respectively in their male counterpart. Fasting glucose level showed significant positive correlation with triglyceride among total and male study subjects (p=0.003 for both). In case of total cholesterol significant positive association was among total and female subjects (p=0.005 and 0.007 respectively).  The data concluded that (i) relatively large number of diabetic patients were having dyslipidemia of either component or in combination; and (ii) attention needs to be paid to address this issue of dyslipidemia and to avoid or at least delay the coronary artery and atherosclerotic complications of these subjects. CBMJ 2014 January: Vol. 03 No. 01 P: 20-24

scholarly journals Outcome of Antegrade Interlocking Intramedullary Nailing in Fracture Shaft of the Femur in Community Based Medical College Hospital, Bangladesh

2015 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Mamunur Rashid Chowdhury ◽  
Md Anwarul Haque ◽  
Md Nasir Uddin ◽  
Md Saiful Islam ◽  
Sabrina Alam Mumu ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Medical College Hospital ◽  
Community Based ◽  
College Hospital ◽  
Common Cause ◽  
Medical College

Day by day road traffic accident in Bangladesh is increasing. Mymensingh-Dhaka highway passes beside the Community Based Medical College Hospital, Bangladesh. We often have to manage a greater number of traumatic patients. In road traffic accident the incidence of fracture shaft of femur is the most common. That's why my study was done to evaluate the result of management of fracture shaft of the femur with antegrade interlocking intramedullary nailing under the department of Orthopedic Surgery in CBMCH,B in the period between January 2009 to July 2013. Total 88 patients were selected for interlocking nailing initially in the study. Out of them 8 patients did not report in subsequent follow up. So the result of the study was based on 80 patients (48 males; 32 females) with the range of 20- 68 years of age. The average age of the patient was 36 years. Motor vehicle accidents was the most common cause of fracture shaft femur (65%) and the second most common cause was fall from height (20%) specially fall from tree. Among the patients; right sided femur involvement was 67.5% (54) and left sided femur involvement was 32.5% (26). The majority fracture of the shaft of the femur was lower third (70%). The patients were mostly in the day-laborers' groups (35%), and, the next group was students. The mean union time was 18 weeks with the range of 15-30 weeks. After operation, complications were found such as; infection 3.75%(3), non-union 1.25% (1). Excellent functional outcome was found in 82.5% (66), good in 12.5% (10), fair in 5%(4). This functional outcome study was evaluated by Klemm & Borner 1 criteria. CBMJ 2015 January: Vol. 04 No. 01 P: 13-17

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